PMID- 21931574 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20111110 LR - 20211020 IS - 1662-6567 (Electronic) IS - 1662-6567 (Linking) VI - 3 IP - 1 DP - 2011 Jan TI - Myeloperoxidase-antineutrophil cytoplasmic antibody-negative microscopic polyangiitis with pulmonary haemorrhage and IgA nephropathy. PG - 22-7 LID - 10.1159/000324422 [doi] AB - AIM: To report a case of a patient with myeloperoxidase-antineutrophil cytoplasmic antibody (ANCA)-negative microscopic polyangiitis (MPA) and IgA nephropathy associated with severe pulmonary haemorrhage. CASE REPORT: A 59-year-old man presented with ANCA-negative systemic vasculitis accompanied by purpura, nephritis and pulmonary haemorrhage. A skin biopsy specimen revealed pandermal leucocytoclastic vasculitis without IgA deposition and a kidney biopsy showed mesangial nephritis with IgA deposition. Considering these findings, the patient was diagnosed as having MPA with IgA nephropathy. DISCUSSION: In most cases, MPA presents with rapidly progressive necrotizing glomerulonephritis and sometimes lung haemorrhage, while IgA nephropathy is less common among MPA cases. As recent research suggested that in MPA immunoglobulin deposition in the kidney may be an exacerbating factor for renal dysfunction and poor prognosis, close observation is required in these cases. FAU - Endo, Yuichiro AU - Endo Y AD - Department of Dermatology, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Minato, Haruka AU - Minato H FAU - Taki, Reiko AU - Taki R FAU - Kato, Mayumi AU - Kato M FAU - Kore-Eda, Satoshi AU - Kore-Eda S FAU - Miyachi, Yoshiki AU - Miyachi Y FAU - Tanioka, Miki AU - Tanioka M LA - eng PT - Case Reports DEP - 20110205 PL - Switzerland TA - Case Rep Dermatol JT - Case reports in dermatology JID - 101517685 PMC - PMC3175359 OTO - NOTNLM OT - IgA nephropathy OT - Microscopic polyangiitis OT - Pulmonary haemorrhage EDAT- 2011/09/21 06:00 MHDA- 2011/09/21 06:01 PMCR- 2011/02/05 CRDT- 2011/09/21 06:00 PHST- 2011/09/21 06:00 [entrez] PHST- 2011/09/21 06:00 [pubmed] PHST- 2011/09/21 06:01 [medline] PHST- 2011/02/05 00:00 [pmc-release] AID - 000324422 [pii] AID - cde0003-0022 [pii] AID - 10.1159/000324422 [doi] PST - ppublish SO - Case Rep Dermatol. 2011 Jan;3(1):22-7. doi: 10.1159/000324422. Epub 2011 Feb 5.